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HomeMy WebLinkAboutPermit EL12-0848 - WESTFIELD SOUTHCENTER MALL - T-MOBILET- MOBILE 977 SOTJTHCENTER MALL EL1 2-0848 City ("Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 9202470010 Address: 977 SOUTHCENTER MALL TUKW Project Name: T- MOBILE ELECTRICAL PERMIT Permit Number: EL12 -0848 Issue Date: 09/10/2012 Permit Expires On: 03/09/2013 Owner: Naive: WESTFIELD PROPERTY TAX DEPT Address: PO BOX 130940 , CARLSBAD CA 92013 Contact Person: Name: JENNIFER BURGESS Phone: 206 - 774 -9499 Address: 1345 GULF RD , POINT ROBERTS WA, 98281 Contractor: Name: ADT SECURITY SERVICES INC Phone: 206 - 719 -0347 Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA 98011 Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2013 DESCRIPTION OF WORK: MOVE CAMERA #8 FROM OUTSIDE INVENTORY ROOM TO INSIDE INVENTORY ROOM. SITE CONTACT: JASON STEWART 206 - 242 -0145 Value of Electrical: NRES: $500.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $75.60 2008 Date: — (�1 o- I2_ I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: � _ This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL12 -0848 Printed: 09 -10 -2012 • PERMIT CONDITIONS Permit No. EL12 -0848 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA TO - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector. 5: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that presumes to grant this authority are therefore not valid. 6: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where approved plans have been issued, revisions to the plans and additional review may be required. doc: EL -4/10 EL12 -0848 Printed: 09 -10 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No., .2--4 9 Project No. • Date Application Acc,epteil: Date Application Expires: (For office use only)'` ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** Site Address: 977 SouthcenterMall 92024 /0010 King Co Assessor's Tax No.: Tenant Name: T- Mobile 0449 Suite Number: New Tenant: PROPERTY OWNER Name:JENNIFER BURGESS/NWPERMIT -AGENT Address: 1345 GULF RD Name:Westfield Malls Phu"' (206) 774 -9499 Fax: (888) 400 -0383 Email: JENNIFER @NWPERMIT.COM Address:SAME AS SITE City:TUKWILA State: WA Zip: 98188 CONTACTTERSON - person receiving all project ullnmumcaticin 1 :.: Name:JENNIFER BURGESS/NWPERMIT -AGENT Address: 1345 GULF RD CityPT. ROBERTS State: WA Zip: 98281 Phu"' (206) 774 -9499 Fax: (888) 400 -0383 Email: JENNIFER @NWPERMIT.COM Floor: ❑ Yes EYNo ELECTRICAL CONTRACTOR INFORMATION . Company Name: ADT SECURITY SERVICES INC Address: 11824 NORTH CREEK PKWY N # 105 City: BOTHELL State: WA Zip: 98011 Phone: (206) 774 -9499 Fax: (888) 400 -0383 Contr Reg No.: ADTSES1032O5 Exp Date: 09/25/201? Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 500 Scope of Work (please provide detailed information): Move camera #8 from outside inventory room to inside inventory room. Site contact: Jason Stewart - 206 - 242 -0145. Will service be altered? ❑ Yes Type of Use: Commercial P No Adding more than 50 amps? ❑ Yes 4 No Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applicauons\Folms- Applications On LincU011 AppheauonslElectrical Permit Application Revised 8.9- 11.docx Revised: August 2011 bb ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CIIANGES ❑ Service change or alteration $81.90 (no added /altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea PERM I•T.'APPLICATION,NOTES, Value of Construction — Tn all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. T HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: William Millhollin Mailing Address: 1345 GULF RD H:\Applications\Form - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Day Telephone: Date: 09/10/2012 (206) 774 9 /199 PTiyROBERTS HeA 98?r &1 Page 2 of 2 • City of Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov RECEIPT Parcel No.: 9202470010 Permit Number: EL12 -0848 Address: 977 SOUTHCENTER MALL TUKW Status: PENDING Suite No: Applied Date: 09/10/2012 Applicant: T- MOBILE Issue Date: Receipt No.: R12 -02573 Payment Amount: $75.60 Initials: WER Payment Date: 09/10/2012 03:51 PM User ID: 1655 Balance: $0.00 Payee: NORTHWEST PERMIT INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8595 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receiot -06 Printed: 09 -10 -2012 INSPECTION RECORD Retain a copy with permit .INSPECTION -NO. _ CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 .. (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 612-14 PERMIT NO. Project::. ?-� Type of Inspection: % Address:: ('� Date Called: Special instructions: Date Wanted:. 2 12... (� Requester: Phone No: nApproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: . iti -friAiAtZ> Date: ©Z / 2 i 3 L REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: -I: � � t � Type of Inspection: 2/ Address: 7 Date Called: .t l Special. instructions. • Date Wanted: 4/' . p.m., Requester: jjj Phone No: jApproved per applicable codes. Corrections required prior to approval. COMMENTS: 1 rf, Jc.6 i 2-12 - Inspector: Date: 114, ilII n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. /0 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 t (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 6/1200P1 Project: g, Type of Inspection: too Address: Date Called: Special Instru tions: Y Date Wanted: ,a!m. p. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: Fok,. 21t Inspector: t! UIR C REINSPECTION FEE REQD. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: LZ /c) F/13 • • :eportmen't o ommunt 02 -01 -2013 JENNIFER BURGESS 1345 GULF RD POINT ROBERTS WA 98281 RE: Permit No. EL12 -0848 T- MOBILE 977 SOUTHCENTER MALL TUKW Dear Permit Holder: evetovJmenL lrrn ,eggert n. ayo '. a:k Race Diz ector In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 03/09/2013. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 03/09/2013, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, 1=,gik Bill Rambo Permit Technician File: Pennit File No. EL12 -0848 46300,'$W11- e 4.0 aW e. 74.g $ utter, #, °h0¢ • Tukwila,, Washington: 98188• Phone 106-x'431 3670 • Fax ?Of "' 3665 Contractors or Tradespeople Pr ter Friendly Page • Page 1 of 3 Electrical Contractor A business licensed by LI*I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company ADT SECURITY SERVICES INC 2067190347 11824 North Creek Pkwy N #105 Bothell WA 98011 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601636830 Active ADTSESI03205 Electrical Contractor 9/25/1997 9/25/2013 Limited Energy Unused License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status AMERIDT283LZ AMERICAN DISTRICT TELEGRAPH CO Electrical Contractor Limited Energy Unused 6/9/1972 1/31/1990 Archived Business Owner Information Name Role Effective Date Expiration Date C T CORPORATION SYSTEM Agent 01/01/1980 KOCH, JOHN B President 09/13/2011 BLEISCH, NELSON DAVID Secretary 09/13/2011 FAXAS, MAGIN ANTHONY Treasurer 09/13/2011 SNYDER, MICHAEL President 01/01/1980 09/13/2011 MONROZE, M BRIAN Secretary 06/15/2006 09/13/2011 FLANIGAN, TIMOTHY E Secretary 06/15/2006 09/13/2011 ABROMEIT, RICHARD H Treasurer 08/21 /2003 09/13/2011 BOGGESS, JERRY R Secretary 01/01/1980 06/15/2006 DOHERTY, BERNARD J Secretary 01/01/1980 06/15/2006 RUZIKA, STEPHEN J Secretary 01/01/1980 06/15/2006 BECK, JAN 5 Secretary 01/01/1980 06/15/2006 DINIUS, DAVID Secretary 01/01/1980 06/15/2006 FINNEY, P GRAY Vice President 01/01/1980 06/15/2006 ROBINSON,MICHAEL A Treasurer 08/28/2001 08/21/2003 Bond Information https://fortress.wa.gov/lni/bbip/Print.aspx 09/10/2012